Intensive Care Unit Management of the Adult with Congenital Heart Disease.

Journal Article (Journal Article;Review)

PURPOSE: Adults with congenital heart disease (ACHD) are a rapidly growing population with ever-increasing complexity, and intensive care unit (ICU) management is often necessary. This review summarizes common cardiovascular and non-cardiovascular complications in ACHD and provides a framework for ICU care. RECENT FINDINGS: Heart failure is the leading cause of hospitalization and mortality in ACHD. Varied anatomy and repairs, as well as differing physiological complications, limit generalized application of management algorithms. Recent studies suggest that earlier mechanical support in advanced cases is feasible and potentially helpful. Cardiac arrhythmias are poorly tolerated and often require immediate attention. Other complications requiring intensive care include infections such as endocarditis and COVID-19, pulmonary hypertension, renal failure, hepatic dysfunction, coagulopathy, and stroke. Successful ICU care in ACHD requires a multi-disciplinary approach with careful consideration of anatomy, physiology, and associated comorbidities. Few studies have formally examined ICU management in ACHD and further research is necessary.

Full Text

Duke Authors

Cited Authors

  • Kendsersky, P; Krasuski, RA

Published Date

  • September 10, 2020

Published In

Volume / Issue

  • 22 / 11

Start / End Page

  • 136 -

PubMed ID

  • 32910318

Pubmed Central ID

  • PMC7481759

Electronic International Standard Serial Number (EISSN)

  • 1534-3170

Digital Object Identifier (DOI)

  • 10.1007/s11886-020-01389-9

Language

  • eng

Conference Location

  • United States